HomeMy WebLinkAbout19-21155 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21155
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21155 Address: 38640 6TH AVENUE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-14900-0161
Improv. Cost: 3,799.00 OWNER INFORMATION
Date Issued: 4/29/2019 Name: DIOCESE OF ST PETERSBURG PARKES
Total Fees: 60.00 Address: PO BOX 40200
Amount Paid: 60.00 ST PETERSBURG FL 33743-0200
Date Paid: 4/29/2019 Phone: 813-782-2813
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
pli V1�-
1�
Ins ections Required
DUCTS INSTALLED
DUCTS INSULATED
FINAL
REINSPEC77ON FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
i
CONTRA OR &b4AT6RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-7e0-M City of Zephyrhills,Permit Application Fax-813-78DM21
Wilding Deparbrient
bate Received Pisan Carried(Or Pe[IrrlMln9 t�! t - 5G>/.
ort towners mamma d rffa
Owners Address P10
FeeSkapieTAdoctderName. �w 1 Owner Phone Hundw
Fee SimpteTWdtokkr Address
.IOSARDRFSS �Oy(/�q�� me t` //7ri� / 1Q1,J/ /��#
SUBDIVISION "j ITiti�/Cr �T�/ PARCEL.W ! cv Woo d
(0011AM FROM PR FEW TAX ri IUM
YYORKPROPOSED . NEWaWM ADDIALT SIGN Q Q DEMOLISH
e INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTKRI Q BLOCK Q FRAME STEEL
STEEL Q
DESCitrn N OF[tA am !r 4�"' 1(L TbYI. g1711 N 7—MJ
BUILDING SIZE I Sit FOOTAGE HEIGM
QBUILDING 5 VALUATION OFTOTAL CONSTRUCTION
QF.LECTRICAL is AMP SERVICE Q PROGRESSENERGY W.R.E.C.
[,PLUMBING is1-11���
�IECHANICAL $3�7 VALUATION OF MECHANICAL INSTAU.AT10N
QGAS Q ROOFING rl SPECIALTY.= OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO `
swum
SIGNA F � COMPAtJY 1
TURc REGMTEIM I YIN FEE CURRE] LILN
Address License#[
ELECYRICUW ^� COMPANY
SIGNATURE iii ReOMMEa I YIN FEE CUM3 Y I N
Address
PLUMBER COMPANY
SIONATURE I YfN FEE wRREn Y 1 N
Address License#I i
MECHANICAL COMPANY S Ng f7 e, -t-r�+sl G
SIGNATURE REo4ssatEa I Y/N I FEECURM I YIN
Address f1w Llk, A I
r License#1.2ITG;+IJ
OTHER COMPANY !
SIGNATURE REets EM YIN FEE CURREh Lffl N
Address Licetrse#�� 1
tlLlttiltiitlttiitlittililtltiitlttlttttit /iIl/ Iitltiti / ttt1/litllt
RESiDENTtAL Atiach(2)Plat Plana;(2)sets of stuildelg Pima; rms;(1)set of Energy Fo R-O-W Pemat for new corwhwbon,
Wafttun tan(10)wodang days aft slrb rifttat date. Requited otlsie,OonsWe ion Planes Stornmater Plans w/Sit Fence Installed,
BaRlary F 6�dunpcter,Slro Wok Permit for�*dlatpe pm)od5
CONWER ML Aunch(2)conWiew sags er BuVMV Plans bus a We Safety Now(1)Set of FfWW Forum R-O-W Porn far newcanstrucdon.
M mumn ten(10)W*tW4 days aRerWbrrdlCtl dab. Required arwite,Cmm#ucdm Pknrs,$Wm watw Pkm vA S0t Fancy imdalkxL
Sanitary Faa'Ses&1*npdor.Site bWark Peard rare#raw projects.A0 commerial must meet conVWuWe
SWN PERMrr Attach(2)zb%of BW=Md Plans.
""'PROPERTY SURVEY mquh dfor10 NEW car�.
. . . . .. . . . . . . . . . ... . . . . . . .:.. ... . . . . . . .. . . . . . .
DLecOom,
FdI our applIcadon mnplstely.
Owrrer&C"Mactor sign bade Of epptOMM notarized
Nover$2M,a Nodca of Ccounw r mmard is n irks& (AFC upgrades over s75m)
AgarR(farihe,c-ftvcW)or Power of Attorney(for the amvx)wadd be someone with notatmed letter from owner su0toriang same
OVER THE`COUlaER PERMrrriNQ (copy of cort0aot requbd)
Remofs d shingles S—ao' Service Upgrades A(C Fences WWSu veyToat Wiz)
DArerwo-W over Cowrter Nan pu6ac roadways..naads ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit,may be subject to"deed"restrictions"
which may be more restrictive than.County regulations. The-undersigned assumes responsibility for compliance Willi any
applicable deed-restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:• If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and1ocal regulations. .lf the
contractor is not licensed as required by law,both the owner and contractor may be cited for a misdemeanor,violation
under state law. if the owner or intended contractor are uncertain as to.what licensing requirements may apply for the
Intended work,they are advised*to contact the Pasco County Building inspection Division—Licensing Section at.727-847-
8009. Furthermore, if the owner has fined a contractor or contractors, he Is advised to have the contractors) sign
portions of the"contractor Black"of this application for which they will be responsible. if you,as the owner sign as the
contractor,That may be an Indication_that he Is not property licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,grange of
use in existing buildings,,or expansion of.exisfing buildings,as specified in Pasco County Ordinance number 89-07 and
90.07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that.Transportation Impact Fees,and Resource Recovery Fees must be pakf prior to
receiving a"certificate of occupancy-or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit Issuance. Furthermore,if Pasco County Water/Sewer Impact,
fees are.due;they must be paid prior,to permit issuance in accordance with applicable Pasco County ordinances...
CONSTRUCTION LIEN-LAW(Chapter'713,Florida Statutes,as amended):-If valuation of work is$2,500.00 or more,I
certify that 1, the applicant, have been provided with 'a copy of the "Florida Construction Lien Law-Homeowner's.
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant-is someone
other than the"owner",I certify that i have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement
CONTRACTOR'S/OWNER'S AFFiDAVFI%.I certify that all the information in this application is accurate and that all work.
Will be done in compliance with all applicable laws regulating construction,zoning and land development Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that'na work or installation has
commenced prior to issuance of a permit and.that ail work will'be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations In the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to-the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatmient
- Southwest Florida Water management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit Wells, Wastewater Treatment,
Septic Tanks.,
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless,expressly permitted.
If the fill material is to be used In Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"Will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
if the fill material Is to be used in Flood Zone*9 in connection with a permitted building.using stem-wall '
construction,I certify that fill will be used only to 91 the area within.the stem wall.
If fill material,is to be used in any area, 1 certify that use of such fill will.not adversely affect adjacent
properties. 4 use of fill Is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit Issued under the-attached permit application,for lots less than one(1)
acre which,are elevated by fill,an engineered drainage plan is required.-
If I am the AGENT FOR THE OWNER,I promise In good faith to inform the owner of the permitting conditions set forth in
this affidavit-prior to commencing construction. I understand that a,separate permit may.be required for electrical work,
plumbing,signs,wells,pools,air conditioning,gas,or other Installations not specifically included in the application. A
permit issued shall be construed to be a-license to proceed,with the work and not as authority to violate,cancel,aster,or
set aside any provisions of the technical codes,nor shall Issuance of a permit prevent'ihe Building Official from thereafter
requiring a correction of errors in plans,construction or violations of anycodes. Every permit issued.shall become invalid
unless the work authorized by such permit is commenced within six months of.permit Issuance,or If work'authorized by
the permit is suspended or abandoned for a period of six(6)months after the'time the work is commenced. An extension
may be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable.cause for the extension. if work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD'A NOTICE-OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACT �, u a^'V
subscribed and bswor to(or affirmed)before me this S r�to r affirm j foie znevi let
Y
Who Islare personalty known to me or haslhave produced are rally td me or hastheire produced
as IderdlIkEldon. as identification.
r
Notary Public GQt:tLdNotary Public
Commission No. lesion No.
Name of Notary typed.Primed or stamped Nara of Notary pri yea apiped
=p, ,o Notary Public-State of Florida
w commission lI GG i 12939-
N• ae: My comm.Expires ju119,2021
• • OFF�°:P' BondedthroughNellonalNOWYAssn-
i PROPANE GAS
AND A/C INC. Service Or erZPrOnosal
&a�e 988 813-782-'5013 Invoice'
WORK ORDER*/SERVICEMAN
Sales, Service & Installations SE773:: CJN
DATE/TIME TAKEN tZ4/E2%19 15-.22
4441 Allen Rd. • Zephyrhills, FL'33541 TAKEN BY ' 1-1,1M 03
NOTES: DATE/TIME PROMISED
CLJS T OMER#/LOCATION 19339 /10
PHONE4 813-782-28k3 0
PHONE2# 813--788-1038 F
PHONES# 813--454-351.4
CONTACT MIKE COZINA
ROUTE/SEQ C,JN
ST JOSEPH CATHOLIC CHURCH ST J•OSEPH "THRIFT STORE"
3316 11.TH ST 38640 GTH AVE
ZEPHYRHILLS FL 33542 ZEPHYRHILL6 FL33542
31- AMANA 1-3SEEP, SPLIT A/C 10KW
ARUF364218AA, 0608027254
CSC 1303E 1, 06ID8278252
HKR-10A, 0609807 229 10/06/06
NOT COOLING
DESCRIPTION OF WORK,"' . CITY. SERVICES SERVICES UNIT PRICE, ;°;'AMOUNT
'!l I:�^!`�_._� __ !�—.S �c~r�/C!GrrC __ —_ `/s� %1 f f- c /1�5�'_✓� __ �r"_ _ I �j�7y l co
I I
`4
C Sx IH030 ,
I - I
39 y =
�7,5c,-e 6r re Dil !vo
RECOMMENDATIONS,'
Annual:Maintenance Reconirnended by All Equipment-Manufacturers.
Pressures Lo HI T-Stat I I
REFRIGERANT R- per lbs. 65 PO
'w,,h ENTERS x x Changed Monthly I f I
S FILTERS 'z' '»qx; Changed Monthly
❑ REGULAR ❑WARRANTY ,,,TOTAL SUMMARY-..=
;Dehurrtidistat,Settings;=When here 90N"°, ;When Away 60en;�T-Stat 80o ❑ MAINTENANCE CONTRACT
SERVICE
LIMITED.WARRANTY: All materials,parts and equipment are warranted by the manufacturers' CALL I
METHOD�OF PAYMENT--:.;';,':��'
or suppliers'written warranty only.All labor performed by the above named company is warranted for
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS
behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER
MAINTENANCE ;
I have authority to order the work outlined above which has been satisfactorily completed.I agree that Seller • PROG. IN/ C - -
retains fitle to equipmentimaterials furnished until final payment Is made.If payment is nol made as agreed, CLAIM# , -
seller can remove said equipment/materials at Seller's expense.Any damage resulting from said removal shall
not be the responsibility of Seller.NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO I
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED -
t TECH: TAX I.
,
I
CUSTOMER SIGNATURE DATE ✓� ✓au TOTAL
� 7�
DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF THE EXISTING
DUCT SYSTEM
FLORIDA ENERGEY CONSERVATION CODE (FBC ENERGY, SECTION 403)TO BE LEFT ONSITE AND PICKED
UP BY INSPECTOR
Owner: ,L)flade4G e. (>�
Permit#: 1/
Site Address: Ape—
.Contractor: 13lf#i¢ S PI'VP,9AJ-E-,1� 'I JCI -TIV6
License#: eo3 `79
Final Inspection Date: l ®^0
I certify that I have installed new or modified the existing duct work associated with the HVAC system
referenced by the permit listed above and found it complies with the requirements FBC Energy Code,
Section 403.3. Where modified,the existing ducts have been sealed using reinforced mastic or code-
approved equivalent. Ducts are located within conditioned space (Section 403.3)System was tested as
per FBC Energy code,section 403.3.2.1.All new duct work is to comply with FBC Energy 403.2 and FBC
Mechanical chapter 6.
i
I-Iehr --
Name of License Holder(print or type) Signature of License Holder